NPI | 1528265410 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103TB0200X Psychologist Cognitive & Behavioral (Licence: CA PSY13294) |
Additional Taxonomies | 103TC0700X Psychologist Clinical (Licence: CA PSY13294) |
103TH0004X Psychologist Health (Licence: CA PSY13294) | |
Enumeration Date | 2007-07-02 |
Last Update Date | 2007-07-08 |